Reimbursement Specialist

Were looking for a Reimbursement Specialist who wants their work to mean something someone who brings care accountability and precision to every claim they touch.

This role plays an important part in helping LUX Infusion deliver a patientfirst experience by ensuring accurate timely reimbursement so patients can access care without unnecessary delays or financial confusion.

In this role youll contribute to work that:

• Helps patients receive lifesustaining therapies without disruption
• Supports clinicians pharmacy teams and care coordinators through reliable billing and reimbursement processes
• Strengthens the financial foundation of a growing clinicianled organization focused on longterm patient outcomes

Every claim represents a real person managing a complex condition and this role helps remove barriers so care can continue seamlessly.

Schedule:
8:30am 5:00pm CST or EST

Location:
This role is onsite in Overland Park KS or Garnet Valley PA.
Work location is subject to change based on business needs.

Responsibilities include:

• Ensure accurate and timely billing and reimbursement by submitting clean claims to primary and secondary payers
• Review correct and resubmit rejected or denied claims promptly
• Verify insurance eligibility authorizations and documentation prior to medication delivery
• Maintain complete and accurate patient billing files including CMNs prescriptions and supporting medical documentation
• Confirm delivery dates before claim submission and invoice patients for applicable responsibility amounts
• Serve as a key partner to pharmacy care coordination and field staff to resolve billing issues
• Track accounts receivable activity and maintain detailed AR status reporting
• Communicate regularly with insurance companies providers and internal teams regarding claim status
• Predict cash flow based on claim progression and payer response patterns
• Maintain documentation of all payer communications and followups
• Respond to payer requests for records authorizations and clinical documentation in a timely manner
• Support insurance contract maintenance and payer audits as needed
• Monitor trends in payer behavior coverage changes and industry updates escalating concerns appropriately
• Participate in quality assurance activities audits training and continuing education initiatives
• Bring reliability organization and followthrough to a fastpaced revenue cycle environment

You may be a great fit if you bring:

• Deep care about how billing accuracy impacts patient access and experience
• At least two years of medical insurance or reimbursement experience
• Strong attention to detail and the ability to manage multiple priorities
• Clear verbal and written communication skills
• Comfort working with billing systems payer portals and Microsoft Office tools
• Strong customer service mindset and professionalism when resolving complex payer issues
• Ability to stay organized and adaptable amid changing workloads

Preferred (but not required):

• Home infusion or specialty pharmacy reimbursement experience
• Familiarity with CPR and/or CareTend systems
• Certified Pharmacy Technician credentials
• Experience supporting patients with chronic or rare conditions

You dont need to check every box we care just as much about how thoughtfully you approach your work as your specific background.

At LUX Infusion we believe infusion care deserves more light more warmth more clarity and more connection.

Here youll find:

• Purposedriven work that directly supports patient care
• A patientfirst clinicianled culture
• Collaborative teams across pharmacy revenue cycle and care coordination
• Opportunities to grow your expertise in specialty infusion reimbursement

Come help us elevate infusion care and see whats possible when accuracy empathy and accountability come together.

Pay Range/Rate

$23 - $27 USD

The physical demands described here represent those required for an employee to successfully perform the essential functions of this role. Reasonable accommodations may be made to enable individuals with disabilities to perform these you require a reasonable accommodation during the application or interview process please contact the LUX Infusion Talent Team at or 954.385.7322 x 1425.

While performing the duties of this position the employee may occasionally be required to stand walk or sit; use hands to finger handle or feel objects tools or controls; reach with hands and arms; climb stairs; balance; stoop kneel crouch or crawl; and talk or hear. The employee may also be required to occasionally lift and/or move up to 25 vision abilities required by this role include close vision distance vision color vision peripheral vision depth perception and the ability to adjust focus.

Employees are expected to:

• Participate annually in required legal and ethical compliance training
• Consistently act in compliance with LUX Infusions legal ethical and compliance policies
• Adhere to all standards and procedures outlined in the LUX Infusion Compliance Manual
• Refrain from any behavior that could be considered unethical or unlawful

All LUX Infusion team members are expected to support the organizations mission vision and values by demonstrating integrity dedication compassion and enthusiasm. This includes placing patients first working collaboratively with a stackedhands mindset and maintaining a consistent focus on quality accountability and continuous improvement.

The statements above are intended to describe the general nature and level of work performed by individuals in this role. They are not intended to be an exhaustive list of all responsibilities duties or skills required.

This role operates in a fastpaced environment and requires the ability to prioritize competing demands manage multiple tasks effectively and seek guidance when appropriate.

Employees in this position may be required to assist directly - or coordinate appropriate assistance - to ensure access to LUX Infusions services for individuals with disabilities including patients visitors employees or others.

LUX Infusion is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability protected veteran status or any other characteristic protected by law.